Individual provider Active NPI

Nancy Polites, L.C.S.W.

  • Clinical Social Worker
  • Tequesta, FL
National Provider Identifier
1902945702
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9704 Issued in FL
Practice address
536 N Cypress Dr
Tequesta, FL 33469-2692
Phone
(561) 401-9002
NPI assigned
Feb 6, 2007
Last updated
Dec 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS17581 CA
Clinical Social Worker 1041C0700X SW9704 FL Primary

Addresses

Primary practice location

536 N Cypress Dr
Tequesta, FL 33469-2692

Mailing address

PO Box 3801
401 Old Dixie Hwy
Tequesta, FL 33469-1013
Phone (561) 401-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100405000181 FL Practitioner - Clinical Social Worker 5496669673 Reassigns benefits to 2 organizations
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Therapeutics LLC Clinical CurrentSince Mar 14, 2022 Accepting new patients
A & B Counseling Services LLC CurrentSince Aug 1, 2022 Accepting new patients
A & B Counseling LLC Past Accepting new patients

Locations

2630 SE Willoughby Blvd
#2B
Stuart, FL 34994
Phone (772) 486-4417

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1902945702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3801",
            "address_2": "401 OLD DIXIE HWY",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691013",
            "telephone_number": "561-401-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 N CYPRESS DR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692692",
            "telephone_number": "561-401-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITES",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17581",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

Verify at the official NPI Registry.